Double paramedic

nemedic said:
As a few have already noted, Boston EMS runs dual medic. Also most, if not all of the FD staffed ambulances in eastern MA are dual medic IIRC. For 911, the privates generally run dual medic, but that is probably due to the 911 contracts calling for dual medic trucks. For transfer trucks, mostly split into P/P and B/B trucks, but I know my company has a few P/B transfer trucks in rotation.


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This may be changing in some areas now that the state is allowing PB tucks without a waiver. That said, the double medic staffing will probably remain for the municipal providers since they already have their staffing set up to be dual medic.
 
Actually, I found that every ALS truck in Delaware must be dual medic, as per law, two paramedics must be dispatched to every ALS call.
 
bigbaldguy said:
Cypress creek runs one basic and one medic on their trucks. Only time I've seen a double patched truck is when they've run a P class through and can't slot them into a ICP right away.
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A few years back, when they had significantly higher standards than they do now, Cypress Creek did run double P trucks quite a bit. Now that they put the Paramedic graduates straight into In-Charge training (one of the downfalls in their reputation and level of service IMHO), that has decreased.

MCHD stopped hiring EMT-B's years ago in an effort to go all ALS (EMT-I's and P's). Now they are looking more at newer P's to put in the attendant role to increase their level of service. They really push their Intermediate's to finish Paramedic school, and even go as far as paying for the education throught their in-house program.

Both are still top notch programs, just one has lost some of it's "old school" reputation luster.
 
Flight-LP said:
A few years back, when they had significantly higher standards than they do now, Cypress Creek did run double P trucks quite a bit. Now that they put the Paramedic graduates straight into In-Charge training (one of the downfalls in their reputation and level of service IMHO), that has decreased.

MCHD stopped hiring EMT-B's years ago in an effort to go all ALS (EMT-I's and P's). Now they are looking more at newer P's to put in the attendant role to increase their level of service. They really push their Intermediate's to finish Paramedic school, and even go as far as paying for the education throught their in-house program.

Both are still top notch programs, just one has lost some of it's "old school" reputation luster.
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Oh snap! Lol
 
Flight-LP said:
A few years back, when they had significantly higher standards than they do now, Cypress Creek did run double P trucks quite a bit. Now that they put the Paramedic graduates straight into In-Charge training (one of the downfalls in their reputation and level of service IMHO), that has decreased.

MCHD stopped hiring EMT-B's years ago in an effort to go all ALS (EMT-I's and P's). Now they are looking more at newer P's to put in the attendant role to increase their level of service. They really push their Intermediate's to finish Paramedic school, and even go as far as paying for the education throught their in-house program.

Both are still top notch programs, just one has lost some of it's "old school" reputation luster.
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MCHD just moved up on my list of places to apply at in the near future... I want out of NM worse than ever, and that would be kinda nice to work towards
 
Tigger said:
This may be changing in some areas now that the state is allowing PB tucks without a waiver. That said, the double medic staffing will probably remain for the municipal providers since they already have their staffing set up to be dual medic.
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For the muni departments, the staffing will almost surely remain dual medic( either through the FDs requiring everyone gets their p card, or the contracts for the privates that do 911 mandating P/P. At my company, which may or may not be a private with an easy majority of the 911 contracts north of Boston, the idea was floated to run P/B, and was shot down by every city it was offered to. And I heard from family I have in a local FD that my company has one of their 911 contracts in that the company offered to double the amount of dedicated trucks ( which equals the same amount of dedicated medics, just spread out a bit), and the city still turned it down.


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nemedic said:
For the muni departments, the staffing will almost surely remain dual medic( either through the FDs requiring everyone gets their p card, or the contracts for the privates that do 911 mandating P/P. At my company, which may or may not be a private with an easy majority of the 911 contracts north of Boston, the idea was floated to run P/B, and was shot down by every city it was offered to. And I heard from family I have in a local FD that my company has one of their 911 contracts in that the company offered to double the amount of dedicated trucks ( which equals the same amount of dedicated medics, just spread out a bit), and the city still turned it down.


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Which is funny because the city would have all medic providers doing the care rather than some of the basic trucks they have that run 911.
 
I just want to point out that having dual medics on the truck doesn't necessarily equate to better care. Scope of practice and actual competency are not necessarily the same thing. I have been on a couple of crews where a seasoned basic or intermediate was basically operating by proxy through the junior medic they were riding with. Just saying.
 
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jgmedic said:
I believe it still is. I would love to transfer up there but cost of living is prohibitive, to the OP all LA County ALS 911 ambulances (RA's) have to be dual medic.
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Only municipal. Private can be 1:1.

sent from my mobile command center. or phone. whatever.
 
New Jersey (all of it)
Delaware (all of it).
Worcester EMS (aka UMass Memorial Hospital EMS) in MA.
Saint's Paramedics (Greater Lowell EMS) in Lowell, Ma
Pittsburgh EMS
Delaware County Memorial Hospital in Upper Darby, Pa

The Philadelphia Fire Dept. ALS ambulances are supposed to be dual medic, but they run a lot of "limited MICs" due to staffing issues.
 
bigbaldguy said:
I just want to point out that having dual medics on the truck doesn't necessarily equate to better care. Scope of practice and actual competency are not necessarily the same thing. I have been on a couple of crews where a seasoned basic or intermediate was basically operating by proxy through the junior medic they were riding with. Just saying.
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Yes and no. An experinced medic can probably opperate as well with a basic level partner as a medic partner. What you lose however, is a mentor (beyond the minimum competency assured by an FTO) for newer medics and someone to bounce ideas off of. I have benefitted many times from another medic being available. However, it's not a make or break deal, and many systems opperate effectively with a P/B configuration. If I had my choice though, I'd staff dual medic trucks.
 
Sarasota County (the one south of where I live, and where I plan on working) is currently an ALS system with P/B staffing, however I hear a lot of talk that they're transitioning to P/P staffing and have been filtering their EMT-Bs through medic school. That being said, they're also fire/EMS so I guess within the next 10 years the entire county should be entirely Fire/Medic personnel.

Hillsborough County where I volunteer is also Fire/EMS but I'm not entirely sure if they're P/P, all I know is when you call them, you get 3 paramedics and 2 designated firefighters, minimum. I swear I've been on a call with 6 of their people. Station party, I guess.

The county I live in, Manatee, I believe is P/B but is not fire/EMS. They do have BLS volunteer trucks that are the same as the ones I work in Hillsborough. There are only 2 counties around me that I've heard of that even recognize EMT-I.
 
nemedic said:
For the muni departments, the staffing will almost surely remain dual medic( either through the FDs requiring everyone gets their p card, or the contracts for the privates that do 911 mandating P/P. At my company, which may or may not be a private with an easy majority of the 911 contracts north of Boston, the idea was floated to run P/B, and was shot down by every city it was offered to. And I heard from family I have in a local FD that my company has one of their 911 contracts in that the company offered to double the amount of dedicated trucks ( which equals the same amount of dedicated medics, just spread out a bit), and the city still turned it down.


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I haven't heard of many Fire Depts. forcing anyone to get their medic after hire, but no doubt that most new hires in the suburbs are almost exclusively medics. Nonetheless, the PB configuration helps many FDs get a backup ambulance out the door that can provide ALS when they were previously having to call for mutual aid.
 
Most hospitals in NJ run dual medic trucks, but only a couple run dual medic ambulances. most are SUV-meet-up-with-bls system.
 
EMTswag said:
Most hospitals in NJ run dual medic trucks, but only a couple run dual medic ambulances. most are SUV-meet-up-with-bls system.
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Delaware is all Medic Response Units (think squad 51) that meet up with the fire department BLS transport units.
 
medicsb said:
New Jersey (all of it)
Delaware (all of it).
Worcester EMS (aka UMass Memorial Hospital EMS) in MA.
Saint's Paramedics (Greater Lowell EMS) in Lowell, Ma
Pittsburgh EMS
Delaware County Memorial Hospital in Upper Darby, Pa

The Philadelphia Fire Dept. ALS ambulances are supposed to be dual medic, but they run a lot of "limited MICs" due to staffing issues.
Click to expand...

In MA, there are very few P/B trucks. Its usually P/P or B/B with a paramedic intercept. Saints paramedics (Greater Lowell P1/P100) and Greater Lawrence Paramedics (P2/P200) are non transporting ALS, they run in sprint cars and then 1 rides in with the ambulance.
 
St. Cloud, MN - dual medics
 
My department, East Baton Rouge City/Parish EMS is dual medic.
 
Around Central Texas

Williamson County EMS
Austin-Travis County EMS
Fayette County EMS
Washington County EMS
Schertz EMS
MCHD EMS

And maybe a fire dept. or two
 
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